Individual
DAVID BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1236 HELENA AVE, HELENA, MT 59601-2948
(406) 443-3083
Mailing address
1236 HELENA AVE, HELENA, MT 59601-2948
(406) 443-3083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13808
BCBA CERIFICATE NUMBER
MT
Enumeration date
03/22/2018
Last updated
03/22/2018
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